4 Directions Integrative Mental Health, LLC
Community/Behavioral Health in Las Cruces, NM. Organization (NPI-2).
NPI number1013559038
StatusActive
Last updated in NPPESAug 8, 2023
Details
- NPI
- 1013559038
- Entity type
- Organization (NPI-2)
- Legal business name
- 4 Directions Integrative Mental Health, LLC
- Organization subpart
- No
- Enumeration date
- Oct 10, 2019
- Certification date
- Aug 8, 2023
- Last updated
- Aug 8, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251S00000X | Community/Behavioral Health | – | – | Yes |
| 1041C0700X | Social Worker, Clinical | – | – |
Practice location
125 W Boutz RdLas Cruces, NM 88005-3118
Phone 575-523-5222 · Fax 575-523-8031
Mailing address
Po Box 3148Mesilla Park, NM 88047-3148
Phone 575-523-5222 · Fax 575-523-8031
Authorized official
Annette Mirabal
Partner
5755201536
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